- Network
- NWM
- NWS
- Annual Limit
- SAR 50,000
- SAR 50,000
- Inpatient
- Room Type
- Shared Room
- Shared Room
- Companion Charges (When medically necessary)
- Inpatient Co-pay
- 20% with no CAP
- 20% with no CAP
- Outpatient
- Medication Coverage
- SAR 800
- SAR 800
- Outpatient Co-pay
- 20% with no CAP
- 20% with no CAP
- Pregnancy & Childbirth
- Coverage
- View Hospitals
- View Hospitals
- Pregnancy & Childbirth-related Complications
- Premature Children’s Treatment
- Circumcision
- Ear Piercings
- Neonatal
- Newborn Early Testing
- Dental Treatment
- SAR 300
- SAR 300
- Optical
- Not covered
- Not covered
- Pre-existing Conditions & Chronic Diseases
- Covered up to the annual limit for I/P cases only
- Covered up to the annual limit for I/P cases only
- Hearing Aids
- Vaccination & Inoculations
- Physiotherapy (When medically necessary)
- 6 sessions
- 6 sessions
- Dialysis
- Psychiatric Treatment
- Rehabilitation (physiotherapy)
- Disability
- Obesity Treatment
- Acquired Heart Valve Diseases
- Alzheimer’s Treatment
- Autism Treatment
- Donor Part Collection
- Emergency Out-of-Network Treatment
- Fully covered from the maximum annual benefit limit based on the network benchmarked prices
- Fully covered from the maximum annual benefit limit based on the network benchmarked prices
- Transportation of the Deceased Beneficiary’s Body
- SAR 10,000
- SAR 10,000
- Consulting an In-Network Doctor
- Maximum Physician's Fees within the Network
- Family Planning
- Menopausal & Perimenopausal
- Sexually Transmitted Diseases
- Comprehensive Diabetic Program
- Kidney Transplant
- Preventive Screenings
- Local Ambulance
- Medical Devices
- Birth Defects
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